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Software Functionality Revealed in Detail
We’ve opened the hood on every major category of enterprise software. Learn about thousands of features and functions, and how enterprise software really works.
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 health insurance claim


How One Vendor's Software Solutions Address the Insurance Industry's Unique Issues
Callidus Software's latest enterprise incentive management and sales performance management product suite for the insurance sector aims at helping insurance

health insurance claim  its expertise within the health care insurance segment (that is, in calculating tricky commissions on drug prescriptions). But the vendor's claim often has more to do with the consulting know-how of its personnel, not its prepackaged software with germane reports, KPIs , and so on. Other EIM players will have to decide in which particular industries to stake a claim, and then develop similarly sharp solutions. Large and midsize insurance carriers in the life, health, and property and casualty sectors in

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Software Functionality Revealed in Detail

We’ve opened the hood on every major category of enterprise software. Learn about thousands of features and functions, and how enterprise software really works.

Get free sample report
Compare Software Solutions

Visit the TEC store to compare leading software by functionality, so that you can make accurate and informed software purchasing decisions.

Compare Now

Document Management System (DMS)

Document management systems (DMS) assist with the management, creation, workflow, and storage of documents within different departments. A DMS stores documents in a database and associates important information about the documents, to the documents (known as metadata). Most systems provide workflow engines to design and support document creation, publication, and usage. DMS solutions are often used by insurance and health care industries, government bodies, or other organizations processing high volumes of documents. 

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Documents related to » health insurance claim

The Evolution of Enterprise Resource Planning Includes Service Industries


Enterprise resource planning (ERP) vendors have extended their functionality to service vertical markets in the service industry. As a result, ERP for services has emerged as a viable software category competing with the best-of-breed vendors serving professional services sector industries.

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Navigating Between Service Management Scylla & Charybdis - Part 2


Part 1 of this series analyzed the phenomenon of the rise of the service economy: the increasing importance of the service sector in industrialized economies. Especially in a sluggish market, service delivered after the initial sale of a product is what can truly differentiate competitors. In fact, after-sale service is quite difficult to replicate. Thus, while durable (hard

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TEC Industry Watch: Enterprise Software News for the Week of June 11, 2012


SOFTWARE SELECTIONSJeanswest selects Manhattan Associates Industry tags: Fashion/retail "Manhattan Associates once again shows the strength of its SCALE platform; Jeanswest was in much need of a supply chain solution that could help them streamline logistics across and between three continents. Jeanswest will now be able to better manage its operations across its branded stores and distribution

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An Approach to HIPAA 5010 conversion


In 1996, Congress passed HIPAA to establish national standards for health care transactions. The main focus is to address patient privacy rights, health insurance portability, and the administration simplification of health care payers. Health care electronic data interchange (EDI) transactions such as eligibility, claim status, referrals, claims, remittances, member enrollment and maintenance, and premium payments are all impacted by the regulation. This paper discusses HIPAA drivers, compliance schedule, changes, impacts on various stakeholders, benefits of adoption, and approaches to successful completion of this conversion.

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ASP: For The Health of It


5-Year ASP Contract for Internet Healthcare Software Awarded to Healthcare Systems & Solutions.

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How Background Screening Can Protect Small Health Care Providers and the Patients They Serve


With the recent economic recession, small business owners who providing health care services have undertaken steps to reduce unnecessary overhead and expenses. But health care providers recognize the importance of carefully vetting their employees before trusting them with the welfare of their patients. This industry brief outlines the risks that arise from bad hires and how careful background screening can mitigate those risks.

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TEC Helps Companies Compare, Select, and Evaluate Health Care Information Management Systems


Enterprise software analyst firm Technology Evaluation Centers (TEC) recently launched its Health Care Information Management Systems (HCIMS) Evaluation Center, to help health care professionals, consultants, and decision makers compare the most qualified HCIMS systems based on their own, unique priorities.

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Case Study: Euclid Insurance


Euclid Insurance needed to allow clients and carriers to securely transfer sensitive data without straining the company’s IT resources or forcing use of cumbersome encryption keys. Euclid standardized its data security with an online data storage solution. Find out about the benefits, including secure online file sharing and collaboration; auditable document access for regulatory compliance; and lower cost of operations.

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Virginia Commonwealth University Health System


This case study describes the complexity of human resource management systems (HRMS)/payroll management when merging two organizations and how Ultimate Software’s UltiPro Workforce Management software helped solve the new challenges arisen from the merger.

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